Lincoln County Nursing & Rehab
1145 East Cherry Street, Troy, MO 63379 · (636) 528-5712
For profit - Limited Liability company · 90 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Special Focus Facility Medicare doesn't rate this home: “This facility is not rated due to a history of serious quality issues and is included in the special focus facility program.” Special Focus Facilities get a full inspection at least every six months.
Lincoln County Nursing & Rehab is a Special Focus Facility, so Medicare doesn't rate it. Its last standard inspection, in April 2026, found 14 citations (the Missouri average is 11.4). It was fined 4 times in the last three years, $259,609 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | Not available |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | Not available |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | Not available |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | Not available |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on April 16, 2026 found 14 citations. What an inspection citation means
- Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.April 16, 2026 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.April 16, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure residents have reasonable access to and privacy in their use of communication methods.April 16, 2026 · F0576 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.April 16, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure services provided by the nursing facility meet professional standards of quality.April 16, 2026 · F0658 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide care and assistance to perform activities of daily living for any resident who is unable.April 16, 2026 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.April 16, 2026 · F0728 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Observe each nurse aide's job performance and give regular training.April 16, 2026 · F0730 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.April 16, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.April 16, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.April 16, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.April 16, 2026 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide enough food/fluids to maintain a resident's health.April 16, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care or services that was trauma informed and/or culturally competent.April 16, 2026 · F0699 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 18 citations.
- Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.April 16, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.April 16, 2026 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.November 17, 2025 · F0744 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.January 17, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.January 17, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.October 8, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.October 8, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.March 29, 2024 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Respond appropriately to all alleged violations.March 29, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 29, 2024 · F0684 · Level of harm: Actual harm · Residents affected: Few
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.March 29, 2024 · F0686 · Level of harm: Actual harm · Residents affected: Few
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.March 29, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.March 29, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.January 3, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.January 3, 2024 · F0727 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.October 17, 2023 · F0686 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide or get specialized rehabilitative services as required for a resident.October 17, 2023 · F0825 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.October 17, 2023 · F0882 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
Fines and payment denials
- Fine of $24,195April 16, 2026
- Fine of $151,801May 23, 2024
- Fine of $30,641March 29, 2024
- Fine of $52,972October 17, 2023
- Medicare payment denial for 3 daysStarting May 26, 2026
- Medicare payment denial for 21 daysStarting July 24, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Missouri average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 2.45 | 3.43 | 3.86 |
| Registered nurses (RN) | 0.27 | 0.46 | 0.69 |
| Licensed practical nurses (LPN) | 0.63 | 0.68 | 0.86 |
| Nurse aides | 1.55 | 2.29 | 2.32 |
| Total nursing staff turnover | 74.2% | 56% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 90 |
| Average residents per day | 78.4 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Troy Manor Troy · ★★★★★ 2 out of 5 stars
- Elsberry Missouri Health Care Center Elsberry · ★★★★★ 4 out of 5 stars
- Country View Nursing Bowling Green · ★★★★★ 1 out of 5 stars
- Aspire Senior Living Jonesburg Jonesburg · ★★★★★ 1 out of 5 stars
- Cottages of Lake St Louis Lake Saint Louis · ★★★★★ 4 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Lincoln County Nursing & Rehab on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.